摘要
胃外科手术中精细解剖学研究的核心进展主要包括解剖学研究方面的血管淋巴系统精细化分型、神经保护机制及膜解剖理论应用,术式创新与临床证据方面的脾门淋巴结个体化清扫策略、微创技术适配性及保功能手术,并发症防控方面的吻合口漏预警及胃术后排空障碍等。胃外科手术的精准化依赖血管、神经、淋巴及膜解剖的深度认知,未来研究中须整合传统解剖与膜解剖理论等,建立多维度解剖数据库,结合人工智能及实时导航技术,推动个体化、微创化手术发展,最终改善病人生存质量。
The core advancements in refined anatomical research within gastric surgery involve:encompassing refined classification of the vascular and lymphatic systems,nerve preservation mechanisms,the application of membrane anatomy theory,individualized dissection strategies for splenic hilar lymph nodes,adaptability of minimally invasive techniques,and progress in function-preserving surgeries.Meanwhile,it details research progress in complication prevention and control,such as early warning for anastomotic leaks and postoperative gastric emptying disorders.The precision of gastric surgery fundamentally relies on an in-depth understanding of vascular,neural,lymphatic,and membrane anatomy.Therefore,future research necessitates integrating traditional anatomy with membrane anatomy theory,establishing multi-dimensional anatomical databases,and further combining artificial intelligence with real-time navigation technologies to advance the development of individualized and minimally invasive surgical techniques,ultimately improving patient quality of life.
作者
王振宁
朱甲明
王鑫
孙景旭
WANG Zhen-ning;ZHU Jia-ming;WANG Xin;SUN Jing-xu(Depurtment of Surgical Oncology and General Surgery,the First Hospital of China Medical University,Key Laboratory of Precision Diagnosis and Treatment for Gastrointestinul Tumors,Ministry of Education(China Medical University),Shenyang 110001,China)
出处
《中国实用外科杂志》
北大核心
2025年第7期748-752,758,共6页
Chinese Journal of Practical Surgery
基金
国家自然科学基金项目(No.82373110)。
关键词
胃外科
手术
解剖
临床应用
gastric surgery
surgery
anatomy
clinical implementation
